JAE KO

CHICAGO, IL
NPI1013106830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019027485)
Enumeration Date2007-10-17
Last Update Date2015-05-02
Business Address
-- JAE KO DDS
3434 W PETERSON AVE SUITE 1D
CHICAGO, IL 60659-3319
Phone number: 872-208-7573
Mailing Address
-- JAE KO DDS
2840 W BERWYN AVE
CHICAGO, IL 60625-3402
Phone number: 646-220-5353
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